Blanch J, Pros A, Márquez M A, Campillo M A, Martí N, Benito P
Servicio de Reumatología, Hospitale del Mar, Barcelona.
An Med Interna. 1997 Dec;14(12):630-2.
Transverse myelitis is one of the most unusual neurologic complications of systemic lupus erythematosus. Its pathogenetic mechanisms are controversial. Several therapeutic regimens have been attempted with contradictory results. Corticotherapy appears to improve prognosis, although some authors question its beneficial effects. The case of a patient with systemic lupus erythematosus and transverse myelitis, who presented a favourable clinical course following early treatment with high-dose corticoids, is reported.
横贯性脊髓炎是系统性红斑狼疮最罕见的神经系统并发症之一。其发病机制存在争议。人们尝试了几种治疗方案,但结果相互矛盾。皮质激素疗法似乎能改善预后,尽管一些作者对其有益效果提出质疑。本文报告了一例系统性红斑狼疮合并横贯性脊髓炎患者的病例,该患者在早期接受大剂量皮质激素治疗后临床病程良好。